An unusual cause of spontaneous bacterial peritonitis due to Campylobacter fetus with alcoholic liver cirrhosis

Summary

A 40-year-old man with severe alcoholic liver cirrhosis with a 2-day history of fatigue and abdominal pain was admitted. He
reported eating sushi and sliced raw chicken a few days previously. His abdomen was distended, with shifting dullness. Based
on the patient's history, physical examination and the results of abdominocentesis, he was diagnosed as having spontaneous
bacterial peritonitis; blood and ascitic fluid cultures were positive for Campylobacter fetus. The patient was started on treatment with cefotaxime, which was switched after 1 week to ampicillin for an additional 3 weeks.
The patient was successfully treated with the 4-week course of intravenous antibiotic therapy.